IndividualActive
Lisa Boucek, M.D.
NPI 1720498975 · Pediatric Adolescent Medicine Physician · Scottsdale, AZ
Provider details
- NPI number
- 1720498975
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 54432 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
21807 N Scottsdale Rd
Scottsdale, AZ 85255
Phone: (480) 860-8488
Fax: (480) 860-8498
Approximate (ZIP-level) locationGet directions
Mailing address
9827 N 95th St Ste 105
Scottsdale, AZ 85258-4591
Additional practice locations (2)
- 1919 E Thomas RdPhoenix Children'S HospitalPhoenix, AZ 85016-7710Phone: (602) 546-2923
- 1919 E Thomas RdPhoenix Children'S HospitalPhoenix, AZ 85016-7710Phone: (602) 546-2923
Registry dates
- Enumerated
- 2014-04-28
- Last updated
- 2019-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.